| Ceb Capital Llc | |
|
9150 W Indian School Rd Suite 111b Phoenix AZ 85037-2384 | |
| (623) 247-2300 | |
| (623) 247-1939 |
| Full Name | Ceb Capital Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9150 W Indian School Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Ivy Dorene Jones (OFFICE MANAGER) |
| Authorized Official Contact | 6232472300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ceb Capital Llc 9150 W Indian School Rd Suite 111b Phoenix AZ 85037-2384 Ph: (623) 247-2300 | Ceb Capital Llc 9150 W Indian School Rd Suite 111b Phoenix AZ 85037-2384 Ph: (623) 247-2300 |
| NPI Number | 1750754982 |
|---|---|
| Provider Enumeration Date | 11/10/2015 |
| Last Update Date | 03/23/2016 |
| Medicare PECOS PAC ID | 0244537561 |
|---|---|
| Medicare Enrollment ID | O20160330002570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750754982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ethan O Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972679181 PECOS PAC ID: 1658353644 Enrollment ID: I20040603000546 |
| Provider Name | Jack J Hawks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194835660 PECOS PAC ID: 9739119686 Enrollment ID: I20050819000483 |
| Provider Name | Shu P Yang |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1457458267 PECOS PAC ID: 5890795785 Enrollment ID: I20061227000035 |
| Provider Name | Carolynn Eastin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386763019 PECOS PAC ID: 8729131677 Enrollment ID: I20090724000710 |
| Provider Name | Leah J Echiverri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265663736 PECOS PAC ID: 3072668599 Enrollment ID: I20090908000153 |
| Provider Name | Carmen R Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740513316 PECOS PAC ID: 5597804971 Enrollment ID: I20091124000253 |
| Provider Name | Kaniz F Islam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366860843 PECOS PAC ID: 2264656552 Enrollment ID: I20140605002058 |
| Provider Name | Tonjua Alyce Sibley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033527726 PECOS PAC ID: 3779703319 Enrollment ID: I20141003000232 |
| Provider Name | Susan M Sarabia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538606439 PECOS PAC ID: 5395028211 Enrollment ID: I20170220000458 |
| Provider Name | Rachel A Nagy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609268598 PECOS PAC ID: 1850676792 Enrollment ID: I20170316000561 |
| Provider Name | Jodi L Lay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114450962 PECOS PAC ID: 9638446925 Enrollment ID: I20170516002067 |
| Provider Name | Kimberly A Walls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760996128 PECOS PAC ID: 6103162052 Enrollment ID: I20190114001905 |
| Provider Name | Bariduanen Bright Nkol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326508797 PECOS PAC ID: 8022341346 Enrollment ID: I20190531000587 |
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Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
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Wings Of Hope Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029 Phone: 602-971-0304 Fax: 602-971-0305 | |
Sheperd Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037 Phone: 623-247-2300 Fax: 623-247-1939 |